Provider Demographics
NPI:1841577285
Name:NEW CHOICE PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:NEW CHOICE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:LYNETTE
Authorized Official - Last Name:INSCOE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-302-0059
Mailing Address - Street 1:3314 16TH AVE SE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-9694
Mailing Address - Country:US
Mailing Address - Phone:828-302-0059
Mailing Address - Fax:
Practice Address - Street 1:3314 16TH AVE SE
Practice Address - Street 2:SUITE 101
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9694
Practice Address - Country:US
Practice Address - Phone:828-302-0059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2264225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty